RAFAEL ANTUN MD PA (NPI# 1336449289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336449289 |
| Entity Type | Organization |
| Organization Name | RAFAEL ANTUN MD PA |
| Practice Address |
1321 Nw 14th St Ste 303 Miami FL 33125-1673 |
| Practice Telephone | 3055484005 |
| Practice Fax Number | 3055484055 |
| Mailing Telephone | 3055484005 |
| Mailing Fax Number | 3055484055 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | DR. RAFAEL A ANTUN (PRESIDENT) |
| Authorized Official Telephone | 3055484005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME59386 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 052240600 | 05 |
| Street Address |
1321 NW 14TH ST STE 303 |
| City | MIAMI |
| State | FL |
| Zip Code | 33125-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247533 | Melinda G. Shoemaker | Podiatrist | 1321 Nw 14th St, Ste 103, Miami, FL 33125-1653 | 2005-07-01 |
| 1679134290 | Bianca Maura Cuervo-rodriguez | Nurse Practitioner | 1321 Nw 14th St, Miami, FL 33125-1673 | 2019-06-25 |
| 1164875068 | Natalie Logie | Radiology | 1321 Nw 14th St, Miami, FL 33125-1673 | 2016-07-15 |
| 1871945006 | Psych Er Consultants, LLC | Psychiatry & Neurology | 1321 Nw 14th St, Suite 401 C, Miami, FL 33125-1673 | 2016-07-12 |
| 1497106934 | Silvia M. Marroquin Castillo | Physician Assistant | 1321 Nw 14th St, Suite # 202, Miami, FL 33125-1673 | 2016-06-27 |
| 1992175400 | Menthor Medical Holdings LLC | Health Maintenance Organization | 1321 Nw 14th St, Suite 603, Miami, FL 33125-1673 | 2015-09-28 |
| 1679942692 | Genesiscare Usa of Florida LLC | Urology | 1321 Nw 14th St, Suite 205, Miami, FL 33125-1673 | 2015-09-21 |
| 1861874141 | Brandon Mahal | Internal Medicine | 1321 Nw 14th St, Miami, FL 33125-1673 | 2015-06-23 |
| 1821491069 | Internal Medicine Institute of Florida, LLC | Internal Medicine | 1321 Nw 14th St, Suite 203, Miami, FL 33125-1673 | 2014-10-02 |
| 1811337546 | Derek Michael Isrow | Radiology | 1321 Nw 14th St, Miami, FL 33125 | 2013-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1295368991 | Stellar Alf II LLC | Assisted Living Facility | 3055 N.w. Flagler Terr., Miami, FL 33125 | 2020-02-20 |
| 1841773546 | Enmanuel Alejandro Iglesias | Speech-Language Pathologist | Thera-pro Care,llc 888 Nw 27 Avenue, Suite 5, Miami, FL 33125 | 2018-09-10 |
| 1588158117 | Josefina Cammarano De Casas | Behavior Technician | 720 Nw 19th Ct., Miami, FL 33125 | 2018-06-18 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1154829471 | Iviana Tamara Farinas | Nurse Practitioner | 1951 Nw 7th Street, Miami, FL 33125 | 2018-02-01 |
| 1316452634 | Dayana A Perez Del Pozo | Physical Therapy Assistant | 1422 Nw 7th Street, Marlins Park Third Base Entrance, Miami, FL 33125 | 2017-12-08 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1609398247 | Yaremi Ramirez | Behavioral Analyst | 2145 Nw 13th St, Miami, FL 33125 | 2017-07-14 |
| Find all providers in zip 33125 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770952616 | Genesiscare Usa of Florida LLC | Urology | 3361 South Miami Avenue, Suite 306, Miami, FL 33133-4232 | 2015-09-22 |
| 1790152908 | Bruno Nahar Aragao De Oliveira | Urology | 1120 Nw 14th St Ste 1564b, Miami, FL 33136-2107 | 2015-08-24 |
| 1912382417 | Vivek Venkatramani | Urology | 1250 S Miami Ave Apt 1311, Miami, FL 33130-4107 | 2015-07-25 |
| 1093127631 | Jose Luis Vilaro Valderrabano | Urology | 3641 S Miami Ave Ste 170, Miami, FL 33133-4219 | 2014-06-02 |
| 1164846986 | Derek Prabharasuth | Urology | 11760 Sw 40th St Ste 403, Miami, FL 33175-3595 | 2014-02-13 |
| 1780023135 | Sanjaya Kumar Swain | Urology | 1150 Pac Clinic University of Miami Hospital, Room No 309, Miami, FL 33136 | 2013-06-19 |
| 1467716183 | Emad Ibrahim | Urology | 1095 Nw 14th Ter # R48, Rm 1-10, Miami, FL 33136-1060 | 2012-06-27 |
| 1215295639 | Ricardo Ismael Palmerola | Urology | 4220 Sw 60th Ct, Miami, FL 33155-5224 | 2012-04-24 |
| 1437425246 | Katherine A. Amin | Urology | Professional Arts Center, 1150 Nw 14th St, Suite 309, Miami, FL 33136 | 2012-03-26 |
| 1073803490 | Nicholas Joseph Hauser | Urology | 1150 Nw 14th St Ste 309, Miami, FL 33136 | 2011-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.